The Director of Quality Management (DQM) position works under the direct supervision of the CEO and works closely with the DBH CS&QM team. This position also collaborates with company executives and operations staff. The DQM maintains the highest professional and ethical standards, interfacing with all company staff, patients and stakeholders in a collegial manner.  The DQM acts as a resource to the CEO and DBH CS&QM team as well as being a resource to facilities regarding policy and procedure adherence, regulatory compliance, risk reduction, accreditation conformance and evaluating and enhancing overall facility operations. This position assists the CEO in all regulatory aspects within the scope of the facility; and works directly with all facility departments by furnishing support inclusive of staff trainings, policy development, process/system implementation, utilization of best practices and assisting with clinical services and quality management functions. The DQM works with the CEO and the DBH CS&QM team to collect and aggregate data, furnish reports, identify trends, develop action plans and make recommendations to the CEO and facility operations staff, as appropriate, regarding the status of the quality management components of all facility departments, related training needs, identified action steps, and the status of progress and follow-up efforts. This position is also responsible for conducting COE reviews, developing quality action plans and providing guidance for compliance. Emphasis for this role is also on performing duties that maintain the adherence to JC standards and state regulations specifically in the areas of Policies and Procedures as well as Complaints and Grievances.Responsibilities Assist the CEO in a leadership role and oversees any/all regulatory compliance initiatives within all departments. Assist in coordinating communications with the DBH Clinical Services and Quality Management Team members’ activities to improve productivity and increase efficiency in providing facility support.Responsible for the development and ongoing monitoring of Company policies and procedures in collaboration with personnel from all facility departments.Responsible for handling the complaints and grievances process including response, monitoring of trends and providing reports for review and improvement.Responsible for the development and monitoring of various reports, CAPs, QAPs, and other quality and compliance instruments.Participate in department initiatives and project plans and assist with updates/progress toward completion.Guide standardization and uniformity in department tools and facility interventions.Provide ongoing development of processes/systems to increase efficiency and uniformity within the department and across the company.Identify trends and patterns in data collected to maximize certainty in the delivery of quality clinical results and enhanced regulatory compliance.Provide guidance, as needed, to department staff and field staff for emergent issues.Identify department, division and company training needs and implement and deliver trainings to address these needs.Develop/deliver trainings for JC compliance and assist in JC readiness/surveys both on and off site.Directs and guides the development, revision and implementation of company and state specific policies, procedures, protocols and forms, including regular review and monitoring of the approval process. Directs, guides and monitors the complaint/grievance process for the facility in collaboration with the CEO.Coordinates and conducts onsite surveys and focused reviews of company facilities, as appropriate.Summarizes findings and recommendations, as well as facility, Region and Division trends in formal reports.Conducts on‐going monitoring/maintenance and follow up regarding facility clinical quality components.Conducts onsite and telephonic internal sentinel event investigations, as requested.Works in conjunction with the CEO, DBH Clinical Services and Quality Management, Division President, Regional Directors and Program  Directors/Facility Managers to initiate and facilitate the process of developing and implementing training and / or other mechanisms to enhance clinical services and quality management efforts, ensure compliance with all regulatory guidelines, assist with risk management efforts and provide guidance for conformance with company policies and procedures.Responsible for oversight of and assistance with compliance to Joint Commission accreditation standards for all facilities and assists with on‐site accreditation visits as well as the development of required responsesEstablishes and maintains positive working relationships with all regulatory agencies and accreditation entities.Assists with the diligence and integration process for new facility-based programs and initiatives.Is available to respond to questions, alerts and other areas of concern that fall within the scope of the department.Interfaces with facility and management staff in efforts to enhance the quality of facility operations.Assists with monitoring, tracking and trending of facilities’ clinical and quality services components.Maintains collegial relationships with facility and management staff, patients and stakeholders.Assumes all other responsibilities as assigned by the CEO.Acts in the best interest of the company, its facilities and its patients.Performs other duties as assigned.Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies/practices regarding confidentiality.Communicates clearly and effectively to the CEO, and DBH Clinical Services and Quality Management Team regarding person(s) receiving services and their family members, guests and other members of the health care team.Communicates clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.Develops constructive and cooperative working relationships with others and maintains them over time.Encourages and builds mutual trust, respect and cooperation among team members.Maintains regular and predictable attendance and performance of job dutiesThis is a full-time position that will work 8 am - 5 pm. For a virtual tour of the facility, please visit our website at parcbh.com.
